JASON D NELSON (NPI# 1700097235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700097235 |
| Entity Type | Individual |
| Full Name | JASON D NELSON |
| Credential | M.D. |
| Practice Address |
2400 Hospital Dr Suite 130 Bossier City LA 71111-2385 |
| Practice Telephone | 3182127990 |
| Practice Fax Number | 3182127995 |
| Mailing Telephone | 3182127990 |
| Mailing Fax Number | 3182127995 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2012-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 202992 | LA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 07858 | 05 | |
| LA | 1078581 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407383938 | Jason Nelson | Dental Hygienist | 939 W 59th St, San Bernardino, CA 92407-2571 | 2017-05-15 |
| 1851833966 | Jason Nelson | Peer Specialist | 5257 Ne Martin Luther King Jr, Suite 300, Portland, OR 97211-3282 | 2016-11-07 |
| 1205986627 | Jason M Nelson | Marriage & Family Therapist | 3740 Market Center Dr Ste 1200, Riverton, UT 84065-8026 | 2007-01-10 |
| 1811319403 | Jason M. Nelson | Psychologist | 1090 Founders Blvd, Suite B, Athens, GA 30606-6163 | 2014-01-15 |
| 1174953202 | Jason Lynn Nelson | Registered Nurse | 1800 N 16th St, Suite 1, Clarinda, IA 51632-1101 | 2013-11-27 |
| 1346557949 | Jason T Nelson | Anesthesiologist Assistant | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2010-09-03 |
| 1992010250 | Jason B Nelson | Dentist | 2074 E Southern Ave, B102, Tempe, AZ 85282-7580 | 2010-08-11 |
| 1982831947 | Jason D Nelson | Nurse Practitioner | 220 N 6th Ave E, Duluth, MN 55805-1952 | 2009-06-17 |
| 1528242963 | Jason Martez Nelson | Case Manager/Care Coordinator | 626 Chestnut St, Lewisville, AR 71845-8502 | 2007-12-20 |
| 1467666891 | Jason Nelson | Specialist/Technologist, Other | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2007-05-08 |
| Street Address |
2400 HOSPITAL DR SUITE 130 |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-2385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576243 | Glenda Johnson | Obstetrics & Gynecology | 2400 Hospital Dr, Suite 240, Bossier City, LA 71111-2385 | 2005-05-27 |
| 1679126866 | Emily Rene Maddox | Nurse Practitioner | 2400 Hospital Dr, Bossier City, LA 71111-2385 | 2019-07-17 |
| 1689112526 | Guidco Medical, LLC | Hospitalist | 2400 Hospital Dr, Suite 130, Bossier City, LA 71111-2385 | 2017-02-10 |
| 1902258312 | Planchard Eye & Laser Center, L.L.C. | Ophthalmology | 2400 Hospital Dr, Suite 100, Bossier City, LA 71111-2385 | 2016-07-09 |
| 1558715367 | Joel Anthony Casale | Internal Medicine | 2400 Hospital Dr, Bossier City, LA 71111-2385 | 2016-04-18 |
| 1124482120 | Rachel Branton | Nurse Practitioner | 2400 Hospital Dr, Ste. 120, Bossier City, LA 71111-2385 | 2016-04-06 |
| 1619363116 | Lea J. Rimmer | Nurse Practitioner | 2400 Hospital Dr, Suite 340, Bossier City, LA 71111-2385 | 2015-04-10 |
| 1336576529 | Wk Neurology Clinic | Psychiatry & Neurology | 2400 Hospital Dr, Suite 310, Bossier City, LA 71111-2385 | 2013-10-02 |
| 1255763173 | Laura Michelle Mahaffey | Nurse Practitioner | 2400 Hospital Dr, Suite 340, Bossier City, LA 71111-2385 | 2013-08-01 |
| 1982047932 | Khalid Bin Ahmed Baosman | Internal Medicine | 2400 Hospital Dr, Suite 130, Bossier City, LA 71111-2385 | 2013-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623440 | Hospitalist Medicine Physicians of Texas - Texarkana, Pllc | Internal Medicine | 2531 Viking Dr, Bossier City, LA 71111-2103 | 2019-11-18 |
| 1053769380 | Erin Clements | Internal Medicine | 2300 Hospital Dr Ste 320, Bossier City, LA 71111-2157 | 2016-05-26 |
| 1336196393 | Ronald S Lambert | Internal Medicine | 2525 Viking Dr, Bossier City, LA 71111-2103 | 2006-05-27 |
| 1619975166 | Kenneth John Mekelburg | Internal Medicine | 2525 Viking Drive, Bossier City, LA 71111-2103 | 2005-07-08 |
| 1164035770 | Munoz Consulting LLC | Internal Medicine | 4900 Medical Dr, Bossier City, LA 71112-4521 | 2020-08-25 |
| 1508335738 | Deepika Ralla Md LLC | Internal Medicine | 2525 Viking Dr, Bossier City, LA 71111-2103 | 2018-11-16 |
| 1558715367 | Joel Anthony Casale | Internal Medicine | 2400 Hospital Dr, Bossier City, LA 71111-2385 | 2016-04-18 |
| 1396138756 | Dr Henry Kiser LLC | Internal Medicine | 2525 Viking Dr, Bossier City, LA 71111-2103 | 2015-03-10 |
| 1982047932 | Khalid Bin Ahmed Baosman | Internal Medicine | 2400 Hospital Dr, Suite 130, Bossier City, LA 71111-2385 | 2013-04-09 |
| 1710221361 | Thomas Rodsuwan M D Pmc | Internal Medicine | 2525 Viking Drive, Bossier City, LA 71111-2058 | 2012-11-20 |
| Find all providers in BOSSIER CITY | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.